Utilization Review Assistant Allied Behavioral Health Solutions
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Job Location:
Nashville, IN - USA
Monthly Salary:
Not Disclosed
Posted on:
Yesterday
Vacancies:
1 Vacancy
Job Summary
Allied Behavioral Health Solutions
Utilization Review Assistant
Reports to: Director of Operations
Location: ABHS Office locations in Nashville Goodlettsville or Smyrna
Position Type: Full-Time; Hybrid - first 30 days in-office then 2-3 days per week working remotely
About Us
Allied Behavioral Health Solutions is a locally owned organization focusing on serving individuals families and communities to create better outcomes for all. Increasing access to high quality behavioral health services is one of our contributions to these better outcomes. Our unique approach integrates behavioral health and primary care services offering a team to support every clients needs. Our staff specialize in a variety of topics and treatment methods to allow us to meet every client wherever they may be. We are dedicated to building relationships with clients families medical providers and communities to build an allied system of support to create better outcomes for all.
The primary function of this position is to provide utilization review (UR) support for the assigned location/team to ensure compliance with all state insurance and contractual requirements for clinical documentation.
Primary Responsibilities
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Ensure client charts are in adherence to State and insurance mandates.
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Supply providers and administrative team with timelines for client documents and clinical documentation needed for new and existing clients.
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Collaborate with program evaluation clinical and operations teams to ensure awareness of current and historical standards of documentation.
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Maintain a high standard of organization and attention to detail while creating or changing client charts.
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This position reports directly to ABHS Director of Operations.
Required Skills and Abilities:
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Excellent oral and written communication skills reflecting professional knowledge and demeanor in all forms of communication.
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Ability to effectively communicate deadlines and provide guidance to clinical and operations teams.
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Demonstrate progressive knowledge of utilization management case management performance improvement and managed care reimbursement.
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Capacity to work effectively in an interdisciplinary team.
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Capability to collect data and engage in appropriate feedback.
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Strong organizational and self direction skills are critical.
Minimum Requirements:
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High School Diploma or Equivalent. Bachelors degree preferred.
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Prior experience in utilization review administrative or healthcare experience preferred.
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Proficiency in Microsoft Office or Google Suite including Word (Docs) and Excel (Sheets).
Benefits:
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Paid orientation to the position.
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PTO and medical benefits for full time staff.
Non-Discrimination Statement: In accordance with Federal civil rights law regulations and policies Allied Behavioral Health Solutions LLC does not discriminate in the hiring of or provision of services to persons based on race color national origin religion sex gender identity (including gender expression) sexual orientation disability age marital status income status political beliefs or any other similar characteristics of individuals.
